Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.43 / $4,771.00 / $9,539.00	Facility		$1,084.43	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.22 / $1,084.43 / $1,191.33	Professional		$909.22	$1,084.43	$1,191.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,107.86 / $1,519.44	Professional		$866.35	$1,107.86	$1,519.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,092.08 / $1,233.70 / $2,147.96	Professional		$1,092.08	$1,233.70	$2,147.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.86 / $1,281.59 / $2,383.10	Professional		$953.86	$1,281.59	$2,383.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.92 / $1,077.50 / $1,328.92	Professional		$897.92	$1,077.50	$1,328.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.52 / $1,328.88 / $1,873.04	Facility		$1,023.52	$1,328.88	$1,873.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,204.00 / $1,336.00 / $2,202.60	Professional		$1,204.00	$1,336.00	$2,202.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $944.67 / $1,279.10 / $2,296.80	Facility		$944.67	$1,279.10	$2,296.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $944.67 / $1,279.10 / $2,296.80	Professional		$944.67	$1,279.10	$2,296.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.54 / $1,275.55 / $2,106.77	Professional		$806.54	$1,275.55	$2,106.77